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Permits - Permit# SP-2021-00088 - 4768 West Arm Road - 8/19/2021City of Spring Park Permit 1 CI I Y 01IRK - To Schedule an Inspection Call: 952-442-7520 Details Permit Number: SP-2021-00088 Issue Date: 8/19/2021 Zoning Type: RESIDENTIAL Use Type: 24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS ♦ MON-FRI: 8AM-4:30PM ♦ NO HOLIDAYS Site Address: 4768 WEST ARM ROAD, SP, MN 55384 Description: Re -roof top portion of roof only Permit Granted To: Royal Roofing Permit Type: MAINT - Roofing Replacement Homeowner's Name: C W DINSMORE & C A NYKAMP Permit Exp: 2/15/2022 Phone Number: Valuation: $0.00 Parcel #: 1811723330022 Fees Receipt # Product Sale Date Quantity Date Paid Status Pmt Info 13446 Residential - Re -Roof 8/19/2021 1.00 8/19/2021 Paid Master Card: **** ********5905 13446 State Surcharge Flat Fee - $1.00 8/19/2021 1.00 8/19/2021 Paid Master Card: ********-****5905 Notes $50.00 $1.00 Total: $51.00 • This permit is issued in accordance with and subject to all provisions of Ordinances and policies governing building and zoning in City of Spring Park. • Permit Holder/Contractor/Owners Agent is responsible to call for the inspections! • Permit Packet, including approved plan, and this inspection record must be posted in an accessible location before calling for inspection. Maintain this inspection record until work is complete. • No deviations from the approved plans are allowed without prior consent from the building inspections department. • To Owner, Occupant, or Contractor: It is ILLEGAL TO OCCUPY this area/building until all required final inspections have been made, approved, signed, and certificate of occupancy issued! Scoff Qualle, Building Official City of Spring Park +4349 Warren Avenue ♦ 55384 Copyright ©2021 INSPECTION RECORD City of Spring Park Permit Number: SP-2021-00088 Issue Date: 8/19/2021 SITE ADDRESS: 4768 WEST ARM ROAD, SP, MN 55384 Description: PERMIT TYPE: MAINT - Roofing Replacement Re -roof top portion of roof only ZONE/USE TYPE: RESIDENTIAL APPLICANT: Royal Roofing OWNER: C W DINSMORE & C A NYKAMP No inspection will be performed, and a re -inspection fee will be charged, if this "Inspection Record", the "City of Spring Park Permit", and, when applicable, the approved plans are not available to the inspector. This permit expires if construction activity does not commence within 180 days from obtaining this permit; when construction activity has been suspended or abandoned for at least 180 days; or the work has not been inspected within 180 days from the last documented activity. IF SEPARATE PERMITS ARE REQUIRED, REFER TO THE "SEPARATE PERMITS REQUIRED FOR:" STAMP ON YOUR APPROVED PLANS/CONSTRUCTION DOCUMENTS TO IDENTIFY WHAT SEPARATE PERMITS ARE REQUIRED. ALL REQUIRED ROUGH -IN INSPECTIONS, NOTED ON SEPARATE PERMITS, MUST BE COMPLETED PRIOR TO SCHEDULING A FRAMING INSPECTION. ALL REQUIRED FINAL INSPECTIONS, NOTED ON SEPARATE PERMITS, MUST BE COMPLETED PRIOR TO SCHEDULING A BUILDING FINAL INSPECTION. DO NOT COVER ITEMS TO BE INSPECTED. 1%1mil Gard Inspect9obldwonse Approval Date Comments or Corrections Required '•• •= 1-. Final Required MUST CALL TO SCHEDULE NO LATER THAN THE BUSINESS DAY PRIOR TO THE INSPECTION DAY: 8:00 A.M. TO 4:30 P.M. MONDAY THRU FRIDAY. PHONE NUMBER TO CALL: 952-442-7520 When a Certificate of Occupancy is needed, return this card and the approved final inspection notice to the City of Spring Park office. CITY OF SPRING PARK PAGE 1 BUILDING PERMIT 4349 Warren Avenue � d_ � -(.� Spring Park, MN 55384 Handout Given Phone: 952-471-9051 Fax: 952-471-9160 ❑ Lead Handout Given Routed to MNSPECT SITE ADDRESS: `1 7; Gs" S i .`1/: ry I ! O PID 1) Was the home constructed before 1978? (YES sa, continue with line 2. NO % continue without completing EPA Section) 2) Will the work disturb >6 sq It of interior painted surfaces or 220 sq ft of exterior painted surfaces? (YES - go to line 4, NO)( line 3) 3) Are there any windows being replaced? (YES L. go to line 4, NO 6 continue without completing EPA Section) 4) Has this home been Certified Lead Free? (YES .:, you MUST Attach Certification Information, NO t, complete line 5) 5) EPA Contractor Certification Number. NAT - (applies to contractor only) • PROPERTY OWNER: Address. Gt �r' rNr` i�'f'1- State AiAi 7j -; 5 3 Y `l Eniail L4Jcn, nNr11— pill c�M ( 1 r Contact Name: Pti f r_ L t J ' m n A! !V Phone: ` 5",� - J3 `I ~ t G -*>' • CONTRACTOR: /L_� L Address G : Al "IVTIQ-c r : State M iA.) Z 5_� 3 a Phone Contractor License No: t3C/ 1 - Contact Name S-0/)1,/ d ne- 63 -bpi if -NI4 l Er:.ait S/1acn /r ctl r�. �„7��►�c . ",rt ARCHITECT: Ad(Iress: Gtv State 71 ) Phone Fax Email Contact Name: Phone TYPE OF WORK: a New Construction . Deck X Re -Roof Cornmeretai Residential : Change of Use - Poo! - Re -Side EST. VALUATION OF WORK Finish Basement .3 Retaining Wall Fence S ` ,j T� ' Remodel Porch Shed Square feet. : Addition 7 Demolition i Window/Door Replacement / t O I Garage Attached!Detach Plumbing-rrovrie ceta+za Paga 2 n being replaced Detailed Description of Work: Accessory Structure : hiechanical,:rv44a a-tae oa Page 2 = Misc Other 12" -r'� • 3�-s;,r•ortnsq}s.ta,a-:r,atsiw;Y�r�sr;aw+rrdb_s.-ses�ttCt+'=x as;�s.K;sr•srn-+,sr.:s:.e s;+:.:sea-c.s:a:xzas::aZa�;gf•sr:xra:a•xo�cgtssa-s:-a 3.�;.zgCrsaa r esrgt e+ x e-:r M:a- a=e P�Fre :: Ps•'a^- ,t ses se :,*sp►: �,a-s 5•: >Kt; as sil7t x:: arar ,exit! � ^e!t; axis.v w;a ;t a: i n a.+: tt; ; r s a,:p.:a: r ax za:t trio: s+ rtsrn: aria- ;t :z, a a^: Vs oes Of or, Y.tad e0}6, 1 Vmir 4T*0 dik tl +a f7K1S t0 w1 UA4ri :GGi':e VA;l 43WN06 iaase t;reJ l.t:Qit air Lott Sa'S a'a 3 aGOe or aMeta:Ut Of ate ffi rf tti•4y aft :te 11e t at ]:e 3 a a of danMtsou regtn4 7 x}>•s cna a rwax :, aetpsM c I agree to pay all plan review foss even it I choote not to proc"a with tbs work. Perna arpiras anal wa. s xcar u aru r:An rd9 Dart "- r. ehia!p•MI', ;•t r-a::rea a xnteaw:tt t:r tx ea{t ::sw Heys-o �e s:ape s+; ,s Perm:; Ores} era.: a petits tips :o= • a oe s.als:::a a ps:ac; Noise Ordinance tit Effect: MON DAY - FKIDAY Before 7 a.m. and after 10 p.m. Weekends/Holidays before 7 a.m. aacl after 8 p.m. SIGNATURE OF APPLICANT: DATE: Q-7 jJ I PRINTED NAME: This is the signature of: -_ owner or -_ Ovrner's Representative OCCUP TYPE: CONST. TYPE: CODE BLDG SPRINKLED Yes r No VALJATION S Perini' Fee S WAC Charge S Plan Review Fee S Sewer d Water Hook -Up S Stare Surcharge S Sew-er & Water Disconnect. S Site Inspection Fee: S Water Meter. S S.E C Fee S Muni SE/WA Fee S Investigation Fee I Other Fee S -2016 SAC Escrow: S2485 >. J Copy Charge (S 25 per$ 5 x11 page) S Other S ZO License Check (S5), Lead Check (S7} S TOTAL DUE: S W SUB -TOTAL S rn M Plumbing Fee (from Page 2) S NOT Commercial plans will be submitted to the Met Council Environmental Svcs W U Mechanical Fee from Page 2 S rot SAC determination. Escrow payment will be required when permit is issued. If after Met Council review no SAC is determined, escrow will be refunded in lull. LL Special Conditions/Required Setbacks: LL O Building Approval By: DATE: Printed Building Approval L: License Verification :: Lead Verification - Checked By: City Approval By: 'E G DATE: r,2 Paid �� 6ti_� Date / -� / Receipt No. S/�75��� BY „, �,-c_c✓ 4(7GG f 4-76g' (NEST fi�N► 2D, SP2�NG P/'M� M N UPPa2 SECTIOnJ ONL .� ' Cz) NEw Ppe-F.ag METn Ci*/MNEy S'-Dpe CS ELrM NATINCy Cs') TuRTtE vcrTS = .z,.,s?nteiniG 2jD6r." VtvvT � cE �''�� Chi n► fll� S CH�w�aey tL y VC- � C7 O " O Fi �r yl i Z Pi rc �� 44 " Oa r Ot 00 n,PF ao�-s 4 Ntw E�ysr u�� Thank you for your Payment! Transaction ID: 13446 Transaction Number. Transaction Type: Payment Recipient: Contractor Notes: Paid online Fees 1CIIYOF R K City of Spring Park 4349 Warren Avenue SP MN, 55384 Ph:952-442-7520 $51.00 Date: 8/19/2021 Method: MasterCard: ****-****-****5905 Address: 4768 WEST ARM ROAD, SP, MN 55384 Reference: Permit Number: SP-2021-00088 Type: MAINT - Roofing Replacement for Royal Roofing ...ituantity: Price: Total Amount: Residential - Re -Roof Paid 1.00 $50.00 $50.00 State Surcharge Flat Fee - $1.00 Paid 1.00 $1.00 $1.00 Total Amount: $51.00 Page 1 of 1 Printed on: 8/19/2021 Payment Confirmation Payer Information: Payment Made By: Payment Made For: Email: Permit Address: Address: Payment Description: Payment Date: Shawn L Jensen Royal Roofing shawn@royalroofinginc.com 4766-4768 West Arm Rd 7472 Edmonson Ave NE Monticello, MN 55362 Permits 8/19/2021 12:41:50 PM Business Name Payment Payment Confirmation Amount Convenience Total Method Account Number Fee City of Spring Park MC ****5905 51675552 $102.00 $3.01 $105.01 (Permits) This notice confirms that the above payment was successfully submitted to our payment processor, PSN, and is currently being processed. 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